Practice Quiz 1

What is the blood alcohol concentration (BAC) limit to legally drive in the United States? a. 0.10% b. 0.08% c. 0.06% d. 0.04%

0.08%

What is the rate of suicide for alcoholics who also suffer from major depression? a. 90% b. 30% c. 75% d. 55%

75%

Research has demonstrated that length of treatment is associated with positive outcomes and that this is something to communicate to the client as part of setting expectations and structure of the treatment process. In general, outpatient and residential treatment should be at least ___ to be effective. a. 30 days b. 90 days c. 120 days d. 6 months

90 days

Within an agency, a counselor can share clinical information about a client without a signed release of information from the client EXCEPT with a. The psychiatrist prescribing medications to the client. b. A supervisor providing clinical supervision to the counselor c. A medical record clerk. d. The client only; a release of information from the client is needed to share information with anyone else

A medical record clerk.

Which of the following circumstances can result in Neonatal Abstinence Syndrome? a. A pregnant woman uses opioids during her pregnancy. b. A pregnant woman uses alcohol during her pregnancy. c. A pregnant woman uses cocaine during her pregnancy. d. A pregnant woman uses drugs during her pregnancy.

A pregnant woman uses drugs during her pregnancy.

What is the difference between a treatment plan and a service plan? a. There is no difference; treatment plans and service plans are the same thing. b. A treatment plan identifies specific measurable goals to accomplish whereas a service plan identifies a client's long-term goals. c. A service plan does not have to be discussed or developed collaboratively with the client.

A treatment plan identifies specific measurable goals to accomplish whereas a service plan identifies a client's long-term goals.

1. Friends and acquaintances have the greatest influence on whether an individual engages in substance use during which stage of development? a. Childhood b. Adolescence c. Early adulthood

Adolescence

1. Why is it important for a counselor to explain the rationale for a referral to a client? a. A client has a right to receive communication regarding decisions made about their treatment. b. It can facilitate a client's participation with the resource(s) they are being referred to. c. It can help to reduce any anxiety/uncertainty the client may feel about the referring agency. d. All of the above

All of the above

According to Carl Rogers, what condition is essential to the counseling process? a. Empathy b. Unconditional positive regard c. Congruence d. All of the above

All of the above

Active listening includes which of the following clinical skills? a. Clarification b. Reflection c. Questioning d. All of the above

All of the above

All of the following are potential referral sources for substance abuse counselors EXCEPT: a. Women's health clinics b. Financial counseling c. The Veteran's Administration d. All of the above can be referral sources

All of the above

All of the following are warning signs of substance misuse that family members should be aware of EXCEPT: a. A person engages in impulsive behavior. b. person continually misses appointments, meetings, or events. c. A person has difficulty with concentration, focus, and decision-making. d. All of the above are warnings of substance misuse.

All of the above

For someone in treatment for alcohol dependence, the following should be incorporated in the client's recovery plan a. Attend Alcoholics Anonymous (AA) meetings during and after primary treatment concludes b. Develop a relapse prevention plan c. Participate in an aftercare group d. All of the above should be incorporated in a client's recovery plan

All of the above

For young adults with co-occurring substance abuse and mental health disorders, particularly those struggling with first-episode psychosis, evidence-based treatment programs typically include all of the following individuals to be part of the treatment team except a. Peer support specialists b. Clinicians c. Employment specialists d. All of the above is typically part of the treatment team.

All of the above

Group counseling has been found to be the most effective substance abuse treatment method. Which of the following is a common group model utilized in substance abuse treatment? a. Psychoeducational groups b. Support groups c. Skills development groups d. All of the above

All of the above

It is helpful for family members and concerned others to understand that relapse is a. common following addiction treatment. b. fairly predictable. c. Preventable. d. All of the above

All of the above

Professional ethical standards are developed to protect a. the client. b. the community. c. the clinician. d. all of the above.

All of the above

Regulatory bodies that can audit a substance abuse treatment program include all of the following except a. Third party payers b. Provider agencies c. Commission on Accreditation of Rehabilitation Facilities (CARF) d. All of the above are regulatory bodies.

All of the above

Steps employed in a crisis intervention include which of the following: a. Assessing severity of the crisis b. Forming a connection c. Generating alternative solutions d. All of the above

All of the above

Treatment planning includes the following a. Establishing the behavioral changes that are expected to achieve specific goals. b. Clarifying interventions and counseling methods to be employed by the counselor to facilitate change. c. Setting measurable objectives to determine the degree of change/success clients are making toward their specified goals. d. All of the above are part of treatment planning.

All of the above

What should a counselor be aware of when providing substance abuse treatment to Hispanics/Latinos? a. Potential language issues b. Treatment drop-out rate c. Access to care issues d. All of the above

All of the above

What would be a reason for a counselor to refer a client for services? a. The counselor may not believe he/she is the best person to provide a particular service. b. The counselor believes the client requires a different level of care. c. The counselor's agency does not provide a particular service. d. All of the above are reasons a counselor would refer a client for services.

All of the above

When engaging family members to facilitate in the client's treatment, counselors should be mindful about which of the following family dynamics? a. Codependent relationships b. Enabling behaviors c. Scapegoating d. All of the above

All of the above

When is a treatment plan developed? a. Once a diagnosis is confirmed b. A placement recommendation is made c. The client has been admitted to an appropriate level of care d. All of the above

All of the above

When screening/evaluating a client, the following is a goal during an initial interview: a. Explore the client's problems and expectations. b. Establish trust, rapport, and effective communication. c. Facilitate the client's understanding of the rationale, purpose, and procedure for the screening/assessment process. d. All of the above.

All of the above

Which of the following is a case management competency? a. Helping clients access insurance and health benefits b. Recognizing how culture and context play into the treatment and recovery process of an individual c. Being able to work effectively in an interdisciplinary team setting d. All of the above

All of the above

Which of the following is a symptom of Wernicke's encephalopathy? a. Poor muscle coordination b. Confusion c. Loss of vision d. All of the above

All of the above

Situations where a counselor might refer a client to another provider include all of the following EXCEPT: a. A client experiencing difficulties outside of a counselor's knowledge base b. A counselor not able to work effectively with a client due to a cultural barrier c. A client refusing to work with a counselor d. All of the above are circumstances that may warrant a referral.

All of the above are circumstances that may warrant a referral.

Why is it important for a counselor to document and maintain good clinical records throughout the counseling process? a. It supports billing for clinical services. b. It serves as a legal record of services rendered. c. It provides an account of how a client is doing in treatment, such as progress made or setbacks that have occurred. d. All of the above are important for a counselor to document and maintain.

All of the above are important for a counselor to document and maintain.

Barriers to collaboration can occur on what level? a. Personal b. Professional c. Organizational d. All the above

All the above

Which group has the highest smoking (tobacco) rate in the United States? a. American Indian men b. American Indian women c. Black/African American men d. White/Caucasian women

American Indian women

What should a substance abuse counselor do first if a client in group treatment approaches the counselor after group one day and discloses that she has been questioning her gender identity? a. Encourage the client to share her struggles with gender identity during the next group session. b. Refer the client to a counselor or clinic that specializes in LGBT issues. c. Arrange an individual counseling session with the client to get a better sense of her concerns in a more private and confidential setting. d. Encourage the client to focus on her addiction's treatment at this time.

Arrange an individual counseling session with the client to get a better sense of her concerns in a more private and confidential setting.

In general, which racial/ethnic group would be the most challenging to initially engage in substance abuse treatment? a. White/Caucasians b. Asian Americans c. Black/African Americans d. American Indians

Asian Americans

How would a counselor attempt to engage a client in the precontemplation stage of drug use? a. Facilitating self-reevaluation b. Addressing commitment c. Assisting in consciousness-raising

Assisting in consciousness-raising

What is a self-evaluation method a counselor can employ to grow professionally? a. Audio or video record sessions (with client consent) b. Consultation with other professionals c. Attend a workshop/seminar

Audio or video record sessions (with client consent)

What two types of personality disorders are commonly seen by counselors in substance abuse treatment settings? a. Borderline Personality Disorder and Dependent Personality Disorder b. Borderline Personality Disorder and Antisocial Personality Disorder c. Antisocial Personality Disorder and Avoidant Personality Disorder d. None of the above

Borderline Personality Disorder and Antisocial Personality Disorder

A treatment plan should be updated when ____ a. a client identifies a new goal to work on. b. the frequency of counseling sessions changes. c. a client relapses. d. both A and B.

Both A and B

What is a risk factor for violence that a counselor should continue to assess for when working with clients? a. Substance use problems b. Relationship instability c. Low emotional distress d. Both A and B

Both A and B

What is an example of residential treatment? a. Therapeutic communities b. Halfway houses c. Partial hospitalization program d. Both A and B

Both A and B

The following are medications that can aid with tobacco cessation: a. Nicotine Replacement Therapy b. Naltrexone c. Varenicline d. Both A and C

Both A and C

What does service coordination in substance abuse treatment consist of? a. Case management b. Identifying client strengths c. Client advocacy d. Both A and C

Both A and C

A benefit of using electronic health records (EHR) over paper records is that HER a. Is more user friendly. b. Can more easily track data over time. c. Allows different providers access to a client's record at the same time. d. Both B and C are correct.

Both B and C are correct.

What is the strongest rationale for case management? a. There is no rationale for case management. b. Case management offers the client a single point of contact to receive services. c. A case manager can make referrals for the client that a counselor otherwise cannot.

Case management offers the client a single point of contact to receive services.

What is not necessary to include in a client's behavioral health record/chart as part of documenting a client's course of treatment and progress? a. Progress notes on the client's course of care b. Client's completed homework assignments c. Client's treatment plan d. Client's discharge summary

Client's completed homework assignments

Principles of Effective Drug Treatment (third edition) published by The National Institute on Drug Abuse (NIDA) is an example of ____ for substance abuse. a. theoretical approaches b. evidence-based practices c. clinical guidelines

Clinical guidelines

What is considered the most important tool to ensure continuity of care throughout treatment? a. Treatment plan b. Clinical record c. Therapeutic relationship

Clinical record

During an initial evaluation, a client shares that his wife is concerned about his drinking habits, but he does not think it is that serious. He reports that he has a few beers every evening after work and on weekends. He admits that he could be more productive around the house and more engaged with his family if he does not drink, but also enjoys just being able to "relax and kick back." What stage of change is the client exhibiting? A. Precontemplation B. Contemplation C. Preparation D. Action

Contemplation

Who is most responsible for maintaining the therapeutic relationship in the treatment and recovery process? a. Client b. Counselor c. Family members d. All of the above

Counselor

Which screener consists of four yes/no questions which assess problematic drinking? a. Michigan Alcohol Screening Test (MAST) b. Alcohol Use Disorders Identification Test (AUDIT-C) c. Cut-Annoyed-Guilty-Eye (CAGE) Alcohol Questionnaire d. None of the above

Cut-Annoyed-Guilty-Eye (CAGE) Alcohol Questionnaire

A client in a methadone maintenance program reports an increase in anxiety and drug cravings. It is MOST appropriate for the counselor to a. Refer the client to a physician to discuss a prescription for anti-anxiety medication b. Determine if the client is experiencing anxiety associated with withdrawal c. Identify potential triggers and coping mechanisms with the client to reduce the negative feelings d. Discontinue methadone treatment and identify a more appropriate treatment modality

Determine if the client is experiencing anxiety associated with withdrawal

What level of care is needed for someone experiencing hallucinations, confusion, tremors, and significant agitation? a. Intensive outpatient treatment b. Group counseling c. Detoxification (withdrawal management) d. Residential treatment

Detoxification (withdrawal management)

What should a counselor do for a client in treatment for alcohol dependence with a history of depression and multiple suicide attempts, but who is currently not at imminent risk for suicide? a. Admit the client to an inpatient facility due to the client being at high risk for self-harm and to prevent the client from making a suicide attempt during treatment. b. Develop a Safety Plan with the client. c. The client is not at imminent risk, so the counselor does not have to do anything over and above addictions treatment.

Develop a Safety Plan with the client.

What treatment modality may be recommended for someone doing well with his sobriety six months into his recovery, but continues to report emotional difficulties and problems with relating to others and getting along with them? a. Acceptance and Commitment Therapy (ACT) b. Dialectical Behavior Therapy (DBT) c. Motivational interviewing

Dialectical Behavior Therapy (DBT)

What documentation should a counselor put in a client's record when the client is close to completing or has completed treatment? a. Progress note b. Discharge plan c. case conceptualization d. treatment plan

Discharge plan

Sally, a 55-year-old woman had been participating in treatment for alcohol dependence. She initially started in an intensive outpatient program (IOP) but recently stepped down to outpatient treatment, where she was maintaining her sobriety with a combination of attending at least two Alcoholics Anonymous meetings every week and one individual therapy session with her counselor once a week. During the most recent therapy session with her counselor, she shared that she was laid off from work and has been drinking for the past five days. She reports to her counselor that her family is supportive, but she is having a really difficult time and does not believe she can maintain sobriety with her current level of care. What should the counselor recommend? a. Encourage Sally to stay on track as she had been doing so well with her sobriety. b. Discuss a step up to intensive outpatient treatment again at least for a few weeks and reassess how Sally is doing. c. Refer Sally to residential/inpatient treatment.

Discuss a step up to intensive outpatient treatment again at least for a few weeks and reassess how Sally is doing.

Which of the following is the MOST appropriate course of action for a counselor that encounters an ethical dilemma? a. Research previous precedent and scholarly texts to determine the best course of action b. Focus on what is best for the client c. Discuss dilemma with their clinical supervisor

Discuss dilemma with their clinical supervisor

At the beginning of the initial counseling session with a child whose parent has a substance use disorder, the child stubbornly refuses to leave the waiting room, even with parental coaxing. The counselor says to the child: "You are not sure that you want to be here today. You don't know me and you're not sure that you will like me. I'll leave my office door open, and your mother and I will be in there. When you are ready, you can come in." The counselor's response is an example of a. Paradoxical intervention b. Ignoring c. Synthesizing d. Empathetic reflection

Empathetic reflection

During the first contact with a client, making a strong connection is critical. This process is called a. motivational interviewing. b. preparation. c. Engagement

Engagement

Ongoing communication between a client and service providers is an important aspect of clinical practice. Communication topics covered between stakeholders (those involved and invested in a client's recovery success) regarding a client's care include all of the following EXCEPT: a. A client's attendance record in treatment b. Psychotropic medication changes for a client c. A client's employment status d. Evaluation of a treatment program

Evaluation of a treatment program

A substance abuse counselor is seeing a client, a young pregnant female, for alcohol dependence. The client has not drunk alcohol since she found out she was pregnant; however, she has disclosed in a session that she continues to take prescription painkillers for fibromyalgia. What should the counselor NOT do? a. Express horror and disappointment about her client's actions and refuse to continue to treat the client. b. Provide education about the potential risks that prescription opioid use has on a developing fetus. c. Discuss with the client potential referrals available to treat her medical condition that reduces risk to the fetus.

Express horror and disappointment about her client's actions and refuse to continue to treat the client.

What would be the most appropriate intervention method for family members to receive general information about substance use disorders, the impact of substance use on relationships and families, the pharmacology behind different psychoactive drugs, substance use and health effects, and identifying relapse potential? a. Family counseling b. Family psychoeducational group c. Individual therapy for family members

Family psychoeducational group

What might be a unique need and beneficial treatment option to offer an adolescent which may not be considered as essential for an adult? a. Individual therapy b. Group therapy c. Family therapy

Family therapy

Family members and support systems should be provided information about the importance of support, particularly during a client's early recovery. What time frame covers the early recovery period? a. First three months of when a client stops using substances b. From three to six months of when a client stops using substances c. First six months of when a client stops using substances d. First 12 months of when a client stops using substances

First 12 months of when a client stops using substances

What is the term that BEST describes the sensation of insects/bugs crawling across or underneath the skin? a. Tactile hallucination b. Paresthesia c. Formication

Formication

What should be done for a client who has relapsed and shown up to his counselor's office with severe tremors, confusion, and uncontrollable agitation? a. Tell the client he is experiencing withdrawal symptoms and that he should go home and get some rest. b. Get the client immediate medical attention. c. Ask the client to provide a urine drug screen because he is clearly using drugs.

Get the client immediate medical attention.

All the following statements related to women and alcohol consumption are true except that women a. Have a lower risk of developing problems from alcohol consumption. b. Have a higher risk of developing problems from alcohol consumption. c. Become more impaired by alcohol's effects. d. Are more susceptible to alcohol-related organ damage.

Have a lower risk of developing problems from alcohol consumption.

Suicide risk factors include all of the following EXCEPT: a. Having a mental health condition b. Being a single man over 65 c. Being a single woman in her 30s d. Having an alcohol or drug abuse diagnosis

Having an alcohol or drug abuse diagnosis

Which organ is most damaged by cocaine use? a. Heart b. Liver c. Kidney d. Lung

Heart

Which of the following is an example of a treatment plan goal for a client? a. Incorporating healthy activities into everyday life b. Participating in two new positive activities every month they are in treatment c. Identifying and making a list of ten activities the client enjoys during their free time d. Attend individual therapy sessions once a week to reflect on positive life experiences they have the previous week

Incorporating healthy activities into everyday life

Which statement is true about substance use and HIV/AIDS? a. Drug users who engage in unprotected intercourse represent the largest HIV-infected population in the United States. b. Drug users with multiple sex partners represent the largest HIV-infected substance-abusing population in the United States. c. Injection drug users represent the largest HIV-infected substance-abusing population in the United States.

Injection drug users represent the largest HIV-infected substance-abusing population in the United States.

After the initial evaluation, a counselor puts together a written summary of the screening and assessment results. This documentation is called the a. Interpretive summary. b. Case conceptualization. c. Treatment plan.

Interpretive summary.

Each of these practices would be a case management-related activity for building and maintaining working relationships with referral agencies EXCEPT: a. visiting a referral agency and meet with key staff members. b. Obtaining basic information such as general philosophy and structure of programs, admission or eligibility criteria, and financial requirements. c. Inviting referral agency staff to your house for a meet and greet.

Inviting referral agency staff to your house for a meet and greet.

Andrew is a young college-aged male with a drinking problem. What would not be an appropriate treatment goal to include in his treatment plan? a. Attend the next semester of college b. Join a fraternity on campus c. Join the local Alcoholics Anonymous (AA)

Join a fraternity on campus

Besides providing ethically appropriate care, what is the best way for counselors to protect themselves from malpractice lawsuits? a. Be warm, genuine, and trustworthy. b. Maintain adequate clinical documentation. c. Do not share client information without a release of information. d. Do not accept gifts from clients.

Maintain adequate clinical documentation.

What should a substance abuse counselor do if a client presents to the counselor's office reporting of increased depression, hopelessness, helplessness, and self-harming thoughts? a. Admit the client immediately to the hospital. b. Make an immediate referral for the client to receive a more thorough evaluation. c. Refer the client to see a psychiatric provider to start an antidepressant.

Make an immediate referral for the client to receive a more thorough evaluation.

____ is the most commonly used illicit drug in the United States. a. Cocaine b. Methamphetamine c. Prescription opioids d. Marijuana

Marijuana

What would be an evidence-based treatment option for a person with alcohol dependence that would not be available for a person with cocaine dependence? a. Medication Assisted Treatment (MAT) b. Cognitive Behavioral Therapy (CBT) c. Both are available options d. Neither are available options

Medication Assisted Treatment (MAT)

The ______ assesses for orientation, mental state, and behaviors of a client. a. Personality Assessment Inventory b. Mental Status Exam c. Wechsler Adult Intelligence Scale d. Mini-Mental Status Exam

Mental Status Exam

A primary care physician noticed for the third time this past month that a particular patient of hers has shown up to an appointment with slurred speech and smelling vaguely of alcohol. What standardized screening instrument can the primary care physician use to assess her patient for possible problematic drinking/alcoholism? a. Mental Status Exam (MSE) b. Michigan Alcohol Screening Test (MAST) c. Vermont Alcohol Screening Test (VAST)

Michigan Alcohol Screening Test (MAST)

What is an evidence-based counseling approach/method to addressing clients' ambivalence to change? a. Mindfulness Based Stress Reduction b. Dialectical Behavioral Therapy c. Socratic Questioning d. Motivational interviewing

Motivational Interviewing

Drinking alcohol may produce all of the following medical conditions EXCEPT: a. Fatty liver b. Cirrhosis c. Nephrosis d. Jaundice

Nephrosis

What is a health consequence associated with long-term inhalant use? a. Stomach cramps b. Nerve damage c. Nasal damage

Nerve damage

Which drug is considered the most difficult to quit in terms of dependency? a. Nicotine b. Alcohol c. Cocaine d. Heroin

Nicotine

The following are the top three most common drug addictions in the United States in order from the highest number of users: a. Nicotine, alcohol, marijuana b. Alcohol, nicotine, marijuana c. Nicotine, marijuana, alcohol

Nicotine, alcohol, marijuana

Under which section of a behavioral health note does information obtained from a Mental Status Exam typically go? a. Subjective b. Objective c. Assessment d. Plan

Objective

"I will attend Alcoholic Anonymous twice a week for the next month" may be a statement seen in which element of an Individualized Treatment Plan? a. Problem statement b. Goals c. Objectives d. Interventions

Objectives

Diane is a Licensed Clinical Social Worker who works in a substance abuse treatment center. She has extensive background and experience working in addictions but has very limited experience with trauma. She has a client whom she believes would benefit from trauma treatment. Diane is very interested in learning how to treat trauma. What is the best thing for Diane to do? a. Buy a trauma treatment manual and treat the client b. Take a workshop on trauma and trauma treatment and then treat the client. c. Obtain trauma treatment resources and treat the client while engaging in regular supervision and consultation with a trauma specialist.

Obtain trauma treatment resources and treat the client while engaging in regular supervision and consultation with a trauma specialist.

In the United States, which age group had the biggest rise in alcohol abuse in the last 10 years? a. Teenagers (age 15-17) b. Young adults (age 18-35) c. Middle adults (age 36-64) d. Older adults (age 65+)

Older adults (age 65+)

The following statement is not true regarding alcohol use/abuse and the geriatric population a. Older adults have a decreased sensitivity to alcohol. b. Alcohol contributes to falls in the elderly. c. The risk of medication reactions increases in the elderly. d. Alcohol use can lead to increased health problems in the elderly.

Older adults have a decreased sensitivity to alcohol.

Which of the following statements is correct with regards to the Health Insurance Portability and Accountability Act (HIPAA) Privacy and/or Security Rules? a. Only the HIPAA Privacy Rule applies to both paper and electronic records. b. only the HIPAA Security Rule applies to both paper and electronic records. c. Both the HIPAA Privacy Rule and Security Rule apply to paper and electronic records.

Only the HIPAA Privacy Rule applies to both paper and electronic records.

Which technique encourages the client to share more details and allows the counselor to gather more information? a. Reflection b. Validation c. Open questions

Open question

Which drug, in combination with alcohol, can lead to a dangerous slowing of the heart rate and breathing rate, which could result in coma or death? a. Methamphetamine b. Opioids c. Marijuana d. Cocaine

Opioids

Cocaine use is associated with the following psychosocial and behavioral issues: a. Hallucinations, insomnia, and flashbacks b. Paranoia, hallucinations, and flashbacks c. Paranoia, formication, and loss of interest in activities

Paranoia, formication, and loss of interest in activities

Which therapeutic approach is now considered a basic component utilized to develop a therapeutic relationship with clients? a. Person-Centered Therapy b. Cognitive Therapy c. Rational-Emotive Therapy

Person-Centered Therapy

What is the correlation between education levels and quit-success rates for nicotine? a. Positive correlation b. Negative correlation c. Inverse correlation

Positive correlation

What is one of the first steps in the treatment planning process? a. Establish goals for the client that need to be reached prior to discharge b. Identify other professionals and referral sources that will be utilized during treatment to elicit their ideas c. Determine treatment timelines to ensure all goals can be met prior to discharge d. Prioritize the problems that have been identified during assessment in collaboration with the client

Prioritize the problems that have been identified during assessment in collaboration with the client

Elements of an Individualized Treatment Plan include the following: a. Problem Description, Goals, Objectives, Interventions b. Problem Description, Goals, Medications, Interventions c. Subjective, Objective, Assessment, Plan (SOAP)

Problem Description, Goals, Objectives, Interventions

What is a key component of the Health Insurance Portability and Accountability Act (HIPAA)? a. Protecting and securing a client's personal health information b. Ensuring that health information is accessible across multiple providers for continuity of care c. Improving a client's treatment compliance

Protecting and securing a client's personal health information

Which of the following client actions is NOT an example of a treatment goal? a. Engage in activities consistent with a sober lifestyle. b. Read the Big Book. c. Develop healthier ways to manage/respond to negative emotions.

Read the Big Book.

A counselor has been treating Roger for alcohol dependence. Over the past month, Roger's wife Mary has been accompanying Roger to all of his individual sessions. The counselor noticed a co-dependent relationship between Roger and Mary. What would be a helpful suggestion the counselor can offer Mary? a. Tell Mary to stop enabling Roger's drinking. b. Offer to meet with Mary for her own individual sessions to help her work through her issues. c. Recommend that Mary attend Al-Anon.

Recommend that Mary attend Al-Anon.

1. Phil knows that his wife, Susan, uses marijuana on occasion. He believes she uses it just episodically (e.g., a couple times per year) and becomes concerned after he finds out that she has actually been using marijuana regularly, about once a week with friends for the past five years. He thinks he should refer Susan for substance abuse counseling. How is Susan's use of marijuana best described, given the information provided? a. Cannabis abuse b. Cannabis dependence c. Recreational use

Recreational use

What is the best option for an unemployed and uninsured heroin addict who has been picked up by the police for the fourth time for possession and forgery? a. Suggest that he plead guilty and get clean in prison. b. Refer him to a methadone treatment program. c. There are no treatment options for him because he does not have insurance.

Refer him to a methadone treatment program.

A client was referred to a counselor via his company's Employee Assistance Program (EAP) for problematic drinking that is getting in the way of the client's attendance and productivity at work. During their sessions, the client increasingly talks about problems in his marriage and how he has been drinking more to "escape" from his marital issues. The counselor should a. Invite the client's spouse to the EAP sessions to provide marital counseling. b. Refer the client and spouse to a marital counselor. c. Encourage the client to focus on his problematic drinking behaviors because that is what his company is paying the counselor to address.

Refer the client and spouse to a marital counselor.

During the course of individual substance abuse treatment, a client discloses a significant trauma history to the counselor. The counselor determines that processing the trauma would be an essential piece of the client's recovery. The client is agreeable to this but shares that he has never told anyone about his trauma experiences and is not comfortable talking about his trauma with anyone else. The counselor has no experience or background with trauma treatment. What should the counselor do? a. Continue with substance abuse treatment without focusing on the client's trauma since the counselor is not qualified to treat this issue. b. Continue with substance abuse treatment and also treat the client's trauma. c. Refer the client to a trauma specialist.

Refer the client to a trauma specialist.

The process of facilitating a client's use of available support systems and community resources in order to meet the needs identified in the treatment plan is called __. a. Referral b. Collaboration c. Treatment planning d. Rapport

Referral

Clients have a right to which of the following under the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule? a. Receive quality services b. Request to have mistaken in their records corrected c. Be informed about treatment options and service-related decisions d. Both A and C

Request to have mistaken in their records corrected

Jeff has been in substance abuse treatment for four months. He has a broken work history due to his heroin addiction and has never been able to remain at a job for more than a few months before he is let go for attendance issues and poor performance. He has participated well in treatment and has not produced a positive drug screen. He shares with his counselor that he would like to work again. What should the counselor do? a. Encourage Jeff to focus on his sobriety right now rather than take on what could potentially be another stressor. b. Ask Jeff to update his resume as part of his homework assignment for treatment and bring it to the next counseling session. c. Refer Jeff to an employment specialist. d. Review Jeff's work history and convince Jeff he is not ready to return to work.

Review Jeff's work history and convince Jeff he is not ready to return to work.

Which of the following is NOT one of the basic principles of ethics? a. Justice b. Beneficence c. Right to autonomy d. Right to privacy

Right to privacy

A treatment center is transitioning to electronic health records. The center must ensure that their electronic health record system meets the requirements outlined in the HIPPA a. Privacy rule b. Security rule c. Confidentiality rule

Security rule

Which of the following is a "drug cue"? a. Seeing others use drugs b. Attending AA/NA c. Avoiding a prior drug-use setting d. Calling a friend

Seeing others use drugs

Communicating to the clients in group therapy the importance of attending group and to arrive on time are examples of what aspect of group treatment? a. Setting expectations b. Explaining the purpose of group counseling c. Setting appropriate boundaries

Setting expectations

12-step programs such as Alcoholics Anonymous, Narcotics Anonymous, and Al-Anon are examples of which treatment model for addictions? a. Medical model b. Sociocultural model c. Spiritual model Psychological model

Spiritual model

Mental health and substance abuse assessment instruments include the following: a. Standardized interviews, structured interviews, and self-administered tests b. Structured interviews, biopsychosocial assessments, and self-administered tests c. Structured interviews, biopsychosocial assessments, and risk assessments

Standardized interviews, structured interviews, and self-administered tests

Which individual(s) is/are associated with motivational interviewing? a. Steven Hayes b. Stephen Miller and William Rollnick c. Marsha Linehan

Stephen Miller and William Rollnick

What is the MOST probable classification for a substance that causes a client to experience an instant euphoric flash when using? a. Barbiturates b. Narcotic c. Stimulant

Stimulant

"Rachel reported getting into another argument with her mother over the weekend. She reported feeling guilty and hurt after the argument and had a strong urge to escape by taking some Vicodin." The above statements should be documented in which part of a SOAP note? a. Subjective b. Objective c. Assessment d. Plan

Subjective

What would be a recommended strategy to promote continued abstinence for a heroin addict who has been newly released from a 14-month jail sentence to a halfway house? a. Nothing; he has not used heroin since he was incarcerated 14 months ago and should be able to remain abstinent on his own. b. Enroll him in a methadone program. c. Take unscheduled urine samples, require weekly attendance to Narcotics Anonymous meetings, and schedule weekly counseling sessions.

Take unscheduled urine samples, require weekly attendance to Narcotics Anonymous meetings, and schedule weekly counseling sessions.

With adolescents, which aspect of case management is considered to be the most essential in determining a treatment outcome? a. The adolescent b. The family c. The treating staff/providers d. The peers

The adolescent

A counselor is treating a client for alcohol dependence. The client also has a diagnosis of bipolar disorder which has been well-managed by medications. One day, the client presents to the counseling session reporting of hearing voices and feeling paranoid that people are out to get him. He reported that he has not been drinking and continues to take his bipolar medications. However, he admitted that he has been using methamphetamines recreationally for the past couple weeks. What is the most appropriate diagnostic impression for the client at this time? a. The client's reported psychosis symptoms are part of his bipolar disorder. b. The client has returned to drinking. c. The client is likely experiencing a substance-induced psychosis from recent methamphetamine use.

The client is likely experiencing a substance-induced psychosis from recent methamphetamine use.

A substance abuse counselor referred a client for financial counseling services due to the client reporting of significant credit card debt. The financial counselor responds with a request for additional information about the client. What information would be inappropriate to share with the financial counselor? a. The total amount of debt that the client has b. The client's mental health diagnosis c. Whether the client receives social security or other disability income

The client's mental health diagnosis

What factor in the treatment process contributes to the greatest positive outcomes in treatment? a. The therapeutic relationship b. The client receiving the appropriate level of care c. Implementation of evidence-based practices

The therapeutic relationship

What medication treatment option is associated with treating addiction to methamphetamines? a. Methadone b. Naltrexone c. Bupropion d. There are no FDA-approved medications to treat this condition.

There are no FDA-approved medications to treat this condition.

The following are true statements regarding ethical codes EXCEPT: a. They are profession specific. b. They are based on consensus and "best practices" versus an ideal standard. c. There is a universally accepted code of ethics in the addictions field.

There is a universally accepted code of ethics in the addictions field.

What is a limitation of groups such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA)? a. They stigmatize drug and alcohol addiction. b. They utilize a "public confessional" approach that some find uncomfortable or difficult to do. c. They require members to pay a small fee for attending their groups. d. Both A and C are correct.

They utilize a "public confessional" approach that some find uncomfortable or difficult to do.

In group therapy, a client consistently perceives another group member as an angry critical man like her father. This is an example of which of the following? a. Countertransference b. Transference c. Projecting d. Apathy

Transference

All of the following are elements in a biopsychosocial assessment summary EXCEPT: a. Case conceptualization b. Diagnostic impressions c. Treatment goals d. Treatment recommendations

Treatment goals

According to the Principles of Drug Addiction Treatment, third edition (2012), all of the following are principles of effective treatment EXCEPT: a. No single approach is appropriate for everyone. b. Remaining in treatment for an adequate period of time is critical. c. Treatment needs to be voluntary to be effective d. Effective treatment attends to multiple needs of the individual, not just his/her drug abuse.

Treatment needs to be voluntary to be effective

A client with an alcohol use disorder that also presents with depressive symptoms would benefit MOST from which of the following? a. Cognitive behavioral therapy to treat depression as the primary disorder b. A referral to a physician for antidepressant medication c. Treatment of both disorders concurrently d. Counseling for the alcohol use disorder as the depressive symptoms will most likely dissipate after detoxification and abstinence

Treatment of both disorders concurrently

How can trauma disorders complicate the treatment of substance use disorders? a. Undiagnosed trauma symptoms can be mistaken as an unwillingness to engage in treatment b. Symptoms of traumatic stress disorders are uniquely tied to the client and the cause of their trauma making them difficult to identify and treat c. Symptoms of traumatic stress disorders are alleviated with abstinence from substance use making clients want to prematurely leave treatment

Undiagnosed trauma symptoms can be mistaken as an unwillingness to engage in treatment

A counselor still has records of when she treated a 15-year-old adolescent for prescription Adderall abuse/misuse from two years ago. The counselor practices in a state that does not provide any specific requirements for record retention. How long should the counselor keep these treatment records before she can destroy them? a. Until the adolescent turns 18 b. Until the statute of limitations is met c. Until the adolescent reaches age of majority and the statute of limitations is met d. For seven years

Until the adolescent reaches age of majority and the statute of limitations is met

What type of test can detect drug usage within a period of one week to one month? a. Urine test b. Saliva test c. Hair test d. Sweat test

Urine test

What might be a practice to implement when documenting about treatment progress? a. Quote what clients are saying about their recovery efforts in progress notes. b. Use pre- and post-test measures to track changes in behavior/functioning. c. Continued drug testing.

Use pre- and post-test measures to track changes in behavior/functioning.

How might a counselor approach a client with a cocaine addiction who expresses interest and motivation to participate in substance abuse treatment, but is not completely ready to give up using completely? a. Tell the client to come back when he/she is actually ready for treatment. b. Apply motivational interviewing to get the client committed to abstinence. c. Utilize a harm reduction approach to facilitate change. d. None of the above.

Utilize a harm reduction approach to facilitate change.

What is the best strategy for a counselor to use to prevent a crisis situation? a. Verbal de-escalation b. Call security c. Physical restraint

Verbal de-escalation

All of the following are important knowledge areas for a substance abuse professional to stay current on EXCEPT: a. Health disparities b. Medication assisted treatments c. Vestibular rehabilitation d. Depression and suicide

Vestibular rehabilitation

Disclosures may be made without client consent in all the following circumstances except a. during a medical emergency. b. when there is a court order. c. when reporting suspected child abuse/neglect. d. when a client is incarcerated.

When a client is incarcerated

With regards to alcohol use amongst adults by ethnic group, ____ have the most prevalent use while ____ have the highest prevalence of heavy drinking. a. whites; American Indians b. whites; Latinos c. Latinos; blacks

Whites; American Indians

A client in outpatient drug abuse treatment agreed to let his counselor "hold on to" his drug paraphernalia. Upon completion of treatment, the counselor told the client that he will not be getting his drug paraphernalia back and explained that she is concerned this may trigger a relapse. Has the counselor violated any client rights or ethical codes of conduct? a. No, the counselor is doing what she believes is in the best interest of her client. b. No, the counselor respected the client's right to communication as she told the client about the decision, she is making on his behalf regarding his drug paraphernalia. c. Yes, the counselor violated the client's right to personal effects.

Yes, the counselor violated the client's right to personal effects.

The purpose of a progress note is to document a. a patient's treatment plan. b. screening and assessment results. c. a client's progress with regard to treatment goals and objectives.

a client's progress with regard to treatment goals and objectives.

Peter is a 45-year-old homeless male who enters a residential dual diagnosis treatment program. His drug of choice is cocaine, and he carries a bipolar disorder diagnosis. Peter also has diabetes and hypertension. Which case management services should be included as part of Peter's care? a. Helping Peter obtain housing upon completing residential treatment b. Referring Peter to a physician so his health conditions can be addressed/treated c. Establishing mental health follow-up care for Peter d. all of the above

all of the above

Appropriate actions that case managers can take with regard to communicating with community resources include a. making appointments for clients. b. taking clients to appointments. c. providing information to community resources within confidentiality guidelines. d. all of the above.

all of the above.

Patient brokering is ____ a. an essential part of substance abuse treatment. b. a process by which the counselor and client can improve their working alliance. c. an ethically inappropriate practice. d. Both A and B

an ethically inappropriate practice.

Drug testing in substance use disorder treatment is a. part of the initial assessment of a client being evaluated for a substance use disorder. b. to inform counselors if a client is not being truthful about their use. c. a way to monitor a client's use of illicit substances. d. both A and C.

both A and C.

A client shows up to a counseling session under the influence of alcohol. The best thing for a counselor to do in this situation is to a. have a session with the client and process the circumstances that led the client to use. b. make sure the client does not leave the office. c. make sure the client does not operate a motor vehicle while under the influence. d. both B and C are correct.

both B and C are correct.

A counselor may be concerned if a client in treatment is found in possession of a. a thank you card to the client's sponsor. b. needles, syringes, and a small spoon. c. small squares of tin foil. d. both B and C.

both B and C.

In general, a written consent to release information includes all of the following except the a. type of information permitted to be shared b. name of person, facility, or organization that client is authorizing information to be shared with c. client's authorization for treatment d. client's signature

client's authorization for treatment

Clinical documentation should be a. objective, concise, and eloquent. b. concise, simple, and without jargon. c. subjective, objective, and concise.

concise, simple, and without jargon.

The following should be included in a written referral for a client to receive a psychiatric evaluation for psychotropic medications except for the client's a. Diagnosis b. family/relationship history c. symptom history d. substance use and/or medication history

family/relationship history

Illegal drug use estimates in the general population is a. higher compared to those involved with the criminal justice system. b. lower compared to those involved with the criminal justice system. c. about the same compared to those involved with the criminal justice system.

lower compared to those involved with the criminal justice system.

An important fact for a counselor to keep in mind with regards to sexual minorities and substance use is that sexual minorities are a. more likely to have comorbid mental health issues. b. less likely to have used illicit drugs. c. more likely to remain abstinent from alcohol use.

more likely to have comorbid mental health issues. b. less likely to have used illicit drugs.

Which statement below is NOT true about case management? Case management a. is client-driven and strengths-based. b. involves advocacy. c. must be flexible. d. must be comprehensive.

must be comprehensive.

During the initial screening, assessment, and evaluation process for substance abuse, all of the following are pertinent pieces of information to obtain from a client EXCEPT: a. family medical history b. trauma history c. pet history vocational history

pet history

Darlene is an addictions counselor at the only adolescent residential substance abuse treatment program in the area. Darlene comes to work one morning to find that she has been assigned some new clients who were admitted to residential treatment the night before. One new client on her caseload is Sasha, a long-time friend of Darlene's daughter. Growing up, Sasha spent a lot of time at Darlene's house and is someone Darlene knows almost as well as her daughter. Given this information, the best thing for Darlene to do is a. refer Sasha to a fellow co-worker's caseload. b. discharge Sasha because she cannot remain in a treatment program that Darlene works in. c. keep Sasha on her caseload because Sasha is not her daughter. d. none of the above.

refer Sasha to a fellow co-worker's caseload.

A client and his spouse received an eviction notice from their landlord for failure to pay rent. The client informed his counselor that they are looking at staying with his elderly aunt but not sure how it will work out. The counselor should a. ask the client to sign a Release of Information so the counselor can speak to the aunt on the client's behalf. b. refer the client and spouse for housing assistance and follow up with the referral agency regarding available options. c. refer the client for vocational assistance so the client can start generating income to pay rent. d. all of the above.

refer the client and spouse for housing assistance and follow up with the referral agency regarding available options.

1. With regard to client rights, the following are commonly understood to apply to clients in counseling/therapeutic settings except the a. right to freedom of speech. b. right to quality services. c. right to communication. d. right to confidentiality.

right to freedom of speech.

What step should be taken for an adolescent who enters treatment reporting a recent history of multidrug use? The adolescent should be a. admitted to an inpatient facility because she obviously is not able to stop using drugs. b. watched closely for withdrawal symptoms. c. educated about the dangers of multidrug abuse.

watched closely for withdrawal symptoms.